Pink Book Appendix B: Vaccines
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Appendix B Appendix B: Vaccines United States Vaccines ........................................................................................ B-3 Vaccine Excipient Table ....................................................................................... .B-7 Latex in Vaccine Packaging .................................................................................. .B-11 Vaccine-Preventable Disease Terms in Multiple Languages ................................................... .B-13 Resources for Vaccines ....................................................................................... .B-15 B Appendix B-1 Appendix B B Appendix B-2 Appendix B United States Vaccine Names United States Vaccines Doses in Routine Vaccine Trade Name Abbreviation Manufacturer Route Approved Ages Comments Series Adenovirus N/A Teva Oral 1 17-50 years Live: Approved for military Pharmaceutical populations; not approved Adenovirus Type 4 & Type 7 (2 Tablets) Industries Ltd. for pregnant women BioThrax® AVA Emergent IM 3 18-65 years Cell-free filtrate from Anthrax BioSolutions avirulent strain, Adj. Vaxchora™† N/A Emergent Oral (Liquid) 1 18-64 years Live Attenuated Cholera BioSolutions Daptacel® DTaP Sanofi IM 5 6 weeks-6 years Inactivated, Adj. DTaP Infanrix™ DTaP GlaxoSmithKline IM 5 6 weeks-6 years Inactivated, Adj. N/A (Generic) DT Sanofi IM 5 6 weeks-6 years Inactivated, Adj.: Use DT when pertussis is contraindicated ActHIB® Hib (PRP-T) Sanofi IM 4 2 months-5 years Inactivated (Tetanus toxoid conjugate) Haemophilus Hiberix™ Hib (PRP-T) GlaxoSmithKline IM 4 6 weeks- 4 years Inactivated (Tetanus toxoid influenzae type b (Hib) conjugate) PedvaxHIB® Hib (PRP-OMP) Merck IM 3 2-71 months Inactivated, Adj. (Meningococcal conjugate) Havrix™ HepA GlaxoSmithKline IM 2 Pediatric: Inactivated, Adj. 12 months-18 years; Adult: ≥19 years Hepatitis A Vaqta® HepA Merck IM 2 Pediatric: Inactivated, Adj. 12 months-18 years; Adult: ≥19B years Engerix-B™ HepB GlaxoSmithKline IM 3 Pediatric: Recombinant, Adj. Birth-19 years Adult: ≥20 years Recombivax HB® HepB Merck IM 3 Pediatric: Recombinant, Adj. Hepatitis B Birth-19 years Adult: ≥20 years Appendix B-3 Heplisav-B® HepB Dynavax IM 2 ≥18 years Recombinant, Adj. Technologies Herpes Zoster Shingrix™ RZV GlaxoSmithKline IM 2 ≥50 years Recombinant, Adj. (Shingles) Appendix B Appendix B-4 Doses in Routine Vaccine Trade Name Abbreviation Manufacturer Route Approved Ages Comments Series Human Gardasil® 9 9vHPV Merck IM 2 or 3 9-45 years Recombinant, Adj. Papillomavirus (HPV) ACIP recommends 9-26 years Afluria IIV4 Seqirus IM 1 or 2 ≥6 months Inactivated Quadrivalent® Fluad® IIV3 Seqirus IM 1 ≥65 years Inactivated, Adj. Fluad® IIV4 Seqirus IM 1 ≥65 years Inactivated, Adj. Quadrivalent Fluarix™ IIV4 GlaxoSmithKline IM 1 or 2 ≥6 months Inactivated Quadrivalent Flublok® RIV4 Sanofi IM 1 ≥18 years Recombinant, Egg-Free Quadrivalent Influenza* Flucelvax® ccIIV4 Seqirus IM 1 or 2 ≥4 years Cell-culture, Egg-free Quadrivalent FluLaval™ IIV4 GlaxoSmithKline IM 1 or 2 ≥6 months Inactivated Quadrivalent FluMist® LAIV4 AstraZeneca Intranasal 1 or 2 2-49 years Live Attenuated Quadrivalent Fluzone® IIV4 Sanofi IM 1 or 2 ≥6 months Inactivated Quadrivalent Fluzone® HD-IIV4 Sanofi IM 1 ≥65 years Inactivated High-Dose Quadrivalent Japanese Ixiaro® JE Valneva IM 2 ≥2 months Inactivated, Adj. encephalitis Measles, Mumps, M-M-R® II MMR Merck SC 2 ≥12 months Live Attenuated Rubella B Menactra® MenACWY-D Sanofi IM 2 9 months-55 years Inactivated (Polysaccharide diphtheria toxoid conjugate) Meningococcal (serogroups A, C, W, Menquadfi™ MenACWY-TT Sanofi IM 2 ≥2 years Inactivated (Polysaccharide and Y) tetanus toxoid conjugate) Menveo™ MenACWY-CRM GlaxoSmithKline IM 2 2 months-55 years Inactivated (Polysaccharide CRM197 conjugate) Meningococcal Trumenba® MenB-FHbp Pfizer IM 2 or 3 10-25 years Recombinant, Adj. (serogroup B) Bexsero™ MenB-4C GlaxoSmithKline IM 2 10-25 years Recombinant, Adj. Appendix B Doses in Routine Vaccine Trade Name Abbreviation Manufacturer Route Approved Ages Comments Series Pneumovax® 23 PPSV23 Merck IM or SC 1 ≥2 years Inactivated Polysaccharide Pneumococcal Prevnar 13® PCV13 Pfizer IM 4 (pediatric) Pediatric: ≥6 weeks Inactivated, Adj. (CRM197 1 (adult) Adult: >65 years conjugate) Polio Ipol® IPV Sanofi IM or SC 4 ≥6 weeks Inactivated Imovax® N/A Sanofi IM 2-3 (pre-exposure) All ages Inactivated 4 (post-exposure) Rabies RabAvert® N/A Bavarian Nordic IM 2-3 (pre-exposure) All ages Inactivated 4 (post-exposure) RotaTeq® RV5 Merck Oral (Liquid) 3 6-32 weeks Live, Pentavalent Rotavirus Rotarix™ RV1 GlaxoSmithKline Oral (Liquid) 2 6-24 weeks Live, Monovalent Tetanus, Tenivac® Td Sanofi IM 1 (Every 10 years) ≥7 years Inactivated, Adj. (reduced) TdVaxTM Td Massachusetts IM 1 (Every 10 years) ≥7 years Inactivated, Adj. Diphtheria Biological Labs Tetanus, (reduced) Boostrix™ Tdap GlaxoSmithKline IM 1 ≥10 years Inactivated, Adj. Diphtheria, (reduced) Pertussis Adacel® Tdap Sanofi IM 1 10-64 years Inactivated, Adj. Typhim Vi® N/A Sanofi IM 1 ≥2 years Inactivated Polysaccharide Typhoid Vivotif® N/A Emergent Oral 4 ≥6 years Live Attenuated BioSolutions (Capsules) Varicella Varivax® VAR Merck SC 2 ≥12 months Live Attenuated ACAM2000® — Emergent Percutaneous 1 All ages Live Attenuated Smallpox (Vaccinia) BioSolutions Smallpox and JYNNEOS® — Bavarian Nordic SC 2 ≥18 years Live, Non-replicating Monkeypox Yellow Fever YF-Vax® YF Sanofi SC 1 ≥9 months Live Attenuated B The abbreviations on this table (Column 3) were standardized jointly by staff of the Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices (ACIP) Work Groups, the editor of the Morbidity and Mortality Weekly Report (MMWR), the editor of Epidemiology and Prevention of Vaccine-Preventable Diseases (the Pink Book), ACIP members, and liaison organizations to the ACIP. These abbreviations are intended to provide a uniform approach to vaccine references used in ACIP Recommendations and Policy Notes published in the MMWR, the Pink Book, and the American Academy of Pediatrics Red Book, and in the U.S. immunization schedules for children, adolescents, and adults. In descriptions of combination vaccines, a hyphen (-) indicates products in which the active components are supplied in their final (combined) form by the manufacturer; a slash ( / ) indicates products in which active components must be mixed by the user. “Doses in a Routine Series” (Column 6) reflects doses administered to a healthy patient at the recommended ages. It does not necessarily reflect schedules for patients with health conditions or other high-risk factors, alternative schedules, catch-up schedules, or booster doses not part of an initial series. For some combination vaccines, this column represents the routine number of doses for that product, and not Appendix B-5 necessarily the total number of doses in a complete series for the components. (For example, Kinrix or Quadracel may be used for only 1 dose of multi-dose DTaP and IPV series.) “Adj.” in the “Comments” column indicates that the vaccine contains an adjuvant. A hyphen in an age range means “through” (i.e., “6 weeks-6 years” means 6 weeks through 6 years [to the 7th birthday]). *All influenza vaccines in this table are 2020-2021 northern hemisphere formulations. For the most current recommendations on influenza, see: https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/flu.html †May be limited in supply as manufacturer has temporarily stopped production Appendix B Appendix B-6 United States Combination Vaccines Doses in Trade Approved Vaccine Abbreviation Manufacturer Route Routine Comments Name Ages Series Kinrix™ DTaP-IPV GlaxoSmithKline IM 1 4-6 years Inactivated, Adj.: Approved as 5th DTaP and 4th IPV. DTaP, Polio Quadracel® DTaP-IPV Sanofi IM 1 4-6 years Inactivated, Adj.: Approved as 5th DTaP and 4th IPV. DTaP, hepatitis B, Pediarix™ DTaP-HepB-IPV GlaxoSmithKline IM 3 6 weeks-6 years Inactivated, Adj.: Approved for Polio 2, 4, 6 month doses. DTaP, Polio, Pentacel® DTaP-IPV/Hib Sanofi IM 4 6 weeks-4 years 4 Inactivated, Adj.: Approved Haemophilus for 2, 4, 6, 15-18 month doses. influenzae type b DTaP, Polio, Vaxelis™ DTaP-IPV-Hib-HepB Sanofi IM 3 6 weeks-4 years Inactivated, Adj.: Approved for Haemophilus 2, 4, 6 month doses. influenzae type b, hepatitis B Hepatitis A, Twinrix™ HepA-HepB GlaxoSmithKline IM 3 ≥18 years Inactivated/Recombinant, Adj. Hepatitis B Pediatric HepA + Adult HepB Measles, Mumps, ProQuad® MMRV Merck SC 2 12 months- Live Attenuated Rubella, Varicella 12 years The abbreviations on this table (Column 3) were standardized jointly by staff of the Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices (ACIP) Work Groups, the editor of the Morbidity and Mortality Weekly Report (MMWR), the editor of Epidemiology and Prevention of Vaccine-Preventable Diseases (the Pink Book), ACIP members, and liaison organizations to the ACIP. These abbreviations are intended to provide a uniform approach to vaccine references used in ACIP Recommendations and Policy Notes published in the MMWR, the Pink Book, and the American Academy of Pediatrics Red Book, and in the U.S. immunization schedules for children, adolescents, and adults. In descriptions of combination vaccines, a hyphen (-) indicates products in which the active components are supplied in their final (combined) form by the manufacturer; a slash ( / ) indicates products in which active components must be mixed by the user. “Doses in a Routine Series” (Column 6) reflects doses administered to a healthy